Individual
MRS. DIANA LYNN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1200 N 4TH ST, EFFINGHAM, IL 62401-3032
(217) 347-7179
(217) 342-6716
Mailing address
1200 N 4TH ST, EFFINGHAM, IL 62401-3032
(217) 347-7179
(217) 342-6716
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.010412
IL
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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